Job Description Summary
Plays a key role in various multi-functional projects critical to the company achieving clinical and operational goals and objectives. Responsible to develop, implement and monitor clinical specialty programs in the field. Primarily responsible to serve as the clinical liaison for assigned contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program(s). Requires communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how the specialty programs integrate with other clinical initiatives, and expertise with data management.
- Assists in modifying implementation approaches within budget and operational framework.
- Revenue Generation – Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed.
- Develops strong relationships with key contacts at client level.
- Develops strong relationships and contacts within the company that are supportive of the achievement of increased revenue goals.
- Supports other functions as requested throughout the program development lifecycle including finance, outcomes, communications and IT.
- Communicates frequently, either by phone or in person, with client to report program progress, establish priorities and maintain positive client relationship. Responds to client`s requests for information. Assesses, investigates and resolves difficult issues to achieve customer satisfaction.
- Responsible for oversight of all program reporting. Ensures standard and ad hoc reports are provided accurately and on time.
Responsibilities
- 7+ years of experience in clinical operations, quality, network, pharmacy or project management.
- Project management experience and knowledge of health plans required.
- Provider experience preferred.
- Proven ability to plan, organize, schedule, direct, control and monitor project activities.
- Well developed interpersonal skills. Ability to perform basic financial analysis.
Work Experience
Work Experience – Required:
Pharmacy